# ARCTIC PAIN RELIEF CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770933871
- **Authorized official:** KYLE BERGQUIST DC (OWNER)
- **Authorized official phone:** (206) 713-4721

## Contact information

- **Practice address:** 1901 AIRPORT WAY STE 102, FAIRBANKS, AK 99701-4049
- **Practice address phone:** (907) 374-1357
- **Practice address fax:** (907) 374-1356
- **Mailing address:** PO BOX 1190, SILVERDALE, WA 98383-1190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/20/2016
- **Last updated:** 02/15/2017